LEVI IVAN MAES (NPI# 1730472085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730472085 |
Entity Type | Individual |
Full Name | LEVI IVAN MAES |
Credential | M.D. |
Practice Address |
117 Camino De Vida Suite 300 Santa Rosa NM 88435-2267 |
Practice Telephone | 5754724311 |
Practice Fax Number | 5754724313 |
Mailing Telephone | 5754724311 |
Mailing Fax Number | 5754724313 |
Enumeration Date | 2011-05-19 |
Last Update Date | 2015-08-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | MD2013-0604 | NM | Allopathic & Osteopathic Physicians |
Street Address |
117 CAMINO DE VIDA SUITE 300 |
City | SANTA ROSA |
State | NM |
Zip Code | 88435-2267 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346249968 | Guadalupe County | General Acute Care Hospital | 117 Camino De Vida, 100, Santa Rosa, NM 88435-2874 | 2005-07-15 |
1164055927 | Sunrise Clinics | Counselor | 117 Camino De Vida, Santa Rosa, NM 88435-2267 | 2020-02-19 |
1720432271 | Laura Mardo | Nurse Practitioner | 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435-2267 | 2016-04-21 |
1316388051 | Michael Lee Saiz | Nurse Practitioner | 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435-2267 | 2013-07-10 |
1093153850 | Guadalupe County | Pharmacy | 117 Camino De Vida, 200, Santa Rosa, NM 88435-2267 | 2013-06-13 |
1326334814 | Miranda C Haley | Family Medicine | 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435-2267 | 2011-06-22 |
1467750653 | Cassidy Ruth Huffman | Counselor | 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435 | 2011-03-11 |
1124107446 | Sunrise Medical Group, PC | Clinic/Center | 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435-2874 | 2006-11-06 |
1639255300 | Antje Postl | Nurse Practitioner | 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435-2267 | 2006-10-27 |
1376636159 | Randal Warren Brown | Family Medicine | 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435-2267 | 2006-10-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326548322 | Katherine E Cerico | Physical Therapist | 1972 Historic Route 66, Santa Rosa, NM 88435 | 2018-02-15 |
1770017055 | Michael Montoya | Social Worker | 724 Park Lake Drive, Santa Rosa, NM 88435 | 2017-04-13 |
1447592498 | Mark Land Grossetete | Psychiatry & Neurology | 117 Camino De Vida Ste 300, Santa Rosa, NM 88435 | 2013-03-17 |
1962743534 | De Baca Family Practice Clinic | Clinic/Center | 552 Us Hwy 54, Santa Rosa, NM 88435 | 2013-03-07 |
1861728032 | Sonya Mireles | Counselor | 501 S Fourth St, Santa Rosa, NM 88435 | 2009-10-23 |
1255664231 | Victoria N Silva | Counselor | 501 S. Forth St., Santa Rosa, NM 88435 | 2009-09-09 |
1922039171 | Santa Rosa Medical Clinic | Internal Medicine | 533 Lake Dr, Santa Rosa, NM 88435 | 2006-07-06 |
1134455306 | Anita Valencia | Counselor | 501 S Fourth St, Santa Rosa, NM 88435 | 2009-10-23 |
1952621070 | Erica Nicole Romero | Social Worker | 260 N 3rd St, Santa Rosa, NM 88435-2006 | 2010-06-11 |
1982749453 | Guadalupe County | Pharmacy | 117 Camino De Vida Ste 200, Santa Rosa, NM 88435-2267 | 2007-02-21 |
Find all providers in zip 88435 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
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1346889581 | Herbert Carey Pratt | Family Medicine | 4210 Thomas Lake Harris Dr Apt 217, Santa Rosa, CA 95403-5793 | 2020-01-06 |
1346883998 | Teresa Su | Family Medicine | 2200 County Center Dr Ste C, Santa Rosa, CA 95403-3000 | 2019-10-25 |
1114468568 | Erica Kumala | Family Medicine | 401 Bicentennial Way Ste 285, Santa Rosa, CA 95403-2149 | 2017-03-18 |
1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
1467745950 | Courtney King | Family Medicine | 4702 Starbuck Ave, Santa Rosa, CA 95409 | 2011-05-17 |
1801186648 | Adam Crawford Francis | Family Medicine | 3569 Round Barn Cir Ste 200, Santa Rosa, CA 95403-1757 | 2011-04-13 |
1811217003 | Dora Alicia Martinez | Family Medicine | 122 Fm 506, Santa Rosa, TX 78593-0226 | 2010-06-10 |
1558518290 | John Andrew Carollo Jr. | Family Medicine | 5555 Montgomery Dr Apt 36, Santa Rosa, CA 95409-5597 | 2008-08-25 |
1154577831 | Sutter Medical Group of The Redwoods | Family Medicine | 500 Doyle Park D., 200, Santa Rosa, CA 95405 | 2008-08-13 |
1013175918 | Lucia Dei Roncalli | Family Medicine | 1010 Sundown Trl, Santa Rosa, CA 95404-1115 | 2008-05-28 |
Find all providers in SANTA ROSA |
City | SANTA ROSA |
Zip Code | 88435 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.